Ablation catheter with internally fixed subelectrodes

Patent metadata

Field	Value
Publication number	US-11039882-B2
Application number	US-201715783882-A
Country	US
Kind code	B2
Filing date	Oct 13, 2017
Priority date	Oct 14, 2016
Publication date	Jun 22, 2021
Grant date	Jun 22, 2021

Abstract

Aspects of the present disclosure relate to electrophysiology catheters for cardiac medical procedures. More specifically, the instant disclosure relates to an ablation catheter for treating cardiac arrhythmias by ablating tissue, and having one or more subelectrodes internally fixed within the ablation catheter tip to capture electrophysiology characteristics of myocardial tissue in proximity to the one or more subelectrodes.

First claim

What is claimed is:

1. An ablation catheter tip comprising: a tissue ablation electrode including a shell portion defining an internal cavity, and a plurality of apertures that extend from an interior surface of the shell portion to an exterior surface of the shell portion; a plurality of conical-frustum shaped subelectrodes, each of the subelectrodes including a receiver surface and being seated within one of the plurality of apertures within the tissue ablation electrode; and an insulating material coupling the tissue ablation electrode to each of the plurality of subelectrodes; wherein the plurality of apertures have a complimentary conical shape to the plurality of subelectrodes; and wherein the plurality of subelectrodes are configured and arranged to receive electrical signals indicative of electrophysiological characteristics of myocardial tissue in proximity to each of the subelectrodes.

2. The ablation catheter tip of claim 1 , further comprising
an irrigant port at a distal end of the ablation catheter tip;
an irrigant lumen, coupled to the irrigant port, that extends from a proximal to a distal end of the tissue ablation electrode through the internal cavity; and
wherein the internal cavity of the tissue ablation electrode is filled with a potting material.

3. The ablation catheter tip of claim 1 , wherein the plurality of subelectrodes include four subelectrodes coupled to the tissue ablation electrode and longitudinally dispersed relative to an axis of the ablation catheter tip, pairs of the plurality of subelectrodes configured in bipolar combinations.

4. The ablation catheter tip of claim 1 , wherein the plurality of subelectrodes are configured in bipolar combinations.

5. The ablation catheter tip of claim 1 , wherein the receiver surface of the subelectrodes are flush with an exterior surface of the tissue ablation electrode.

6. The ablation catheter tip of claim 1 , wherein each of the subelectrodes are electrically coupled to an internal lead that extends through the internal cavity of the tissue ablation electrode, and each of the apertures are circumferentially distributed about an axis of the tissue ablation electrode.

7. An ablation catheter comprising: a flexible catheter body having a distal portion; a tissue ablation electrode tip including an internal cavity and a plurality of apertures distributed about an axis of the tissue ablation electrode tip and extending from an exterior surface of the tissue ablation electrode tip into the internal cavity, and wherein the tissue ablation electrode tip is coupled to the distal portion of the flexible catheter body, and configured and arranged to transmit radio frequency energy to myocardial tissue in proximity to the tissue ablation electrode tip and thereby ablate the myocardial tissue; and a plurality of subelectrodes, each of the subelectrodes are configured and arranged to be seated within one of the apertures in the tissue ablation electrode tip, extend through a portion of the tissue ablation electrode tip to the internal cavity, and are configured and arranged to receive electrical signals indicative of electrophysiological characteristics of the myocardial tissue in proximity to each of the subelectrodes; wherein one or more of the plurality of apertures have a conical shape and one or more of the plurality of subelectrodes have a conical-frustum shape, the one or more of the plurality of apertures and the one or more of the plurality of subelectrodes having complimentary tapers in the range of 30-45 degrees; wherein a receiver surface of the subelectrodes is flush with the exterior surface of the tissue ablation electrode tip.

8. The ablation catheter of claim 7 , wherein the subelectrodes are electrically and thermally insulated from the tissue ablation electrode tip.

9. The ablation catheter of claim 7 , wherein the subelectrodes are mechanically coupled to the tissue ablation electrode tip with a biocompatible material.

10. The ablation catheter of claim 9 , wherein the biocompatible material thermally and electrically isolates the subelectrodes from the tissue ablation electrode tip.

11. The ablation catheter of claim 7 , further including thermal insulation between the subelectrodes and the tissue ablation electrode tip, the thermal insulation is configured and arranged to allow the subelectrodes to receive and output signals indicative of calorimetry.

12. The ablation catheter of claim 7 , wherein a shape of the subelectrodes and one or more surfaces of the apertures are configured and arranged to prevent the subelectrodes from decoupling from the tissue ablation electrode tip.

13. The ablation catheter of claim 7 , wherein the subelectrodes are coupled to the tissue ablation electrode tip in a unipolar manner.

14. The ablation catheter of claim 7 , wherein the subelectrodes are configured in bipolar combinations.

15. The ablation catheter of claim 7 , further comprising an irrigant port extending through a distal end of the tissue ablation electrode tip, and an irrigation lumen coupled to the irrigant port and extending through the tissue ablation electrode tip and flexible catheter body to a proximal end of the flexible catheter body.

16. The ablation catheter of claim 7 , further comprising an irrigant port extending through a distal end of the tissue ablation electrode tip, and an irrigation lumen coupled to the irrigant port and extending through the tissue ablation electrode tip and flexible catheter body to a proximal end of the flexible catheter body, and wherein portions of the irrigant port, irrigation lumen, and the subelectrodes within the apertures cavity of the tissue ablation electrode tip are potted with a biocompatible material.

17. The ablation catheter tip of claim 7 , wherein the sub electrodes are coupled to and electrically isolated from the tissue ablation electrode tip by electrically insulative material configured and arranged to insulate the subelectrodes from the radiofrequency energy transmitted through the tissue ablation electrode tip.

18. The ablation catheter of claim 7 , further comprising internal leads that extend a length of the flexible catheter body and electrically couple the subelectrodes to a proximal portion of the ablation catheter, the internal leads configured and arranged to transmit signals to the proximal portion of the ablation catheter indicative of the electrophysiological characteristics of the myocardial tissue in proximity to the subelectrode.

19. A catheter tip comprising: an ablation electrode comprising a shell defining an internal cavity, and at least one conically shaped aperture formed in the shell with an internal aperture cross-section larger than an external aperture cross-section; and a subelectrode having a conical-frustum shape complementary to the aperture formed in the shell, the subelectrode configured and arranged to be seated into the aperture formed in the shell; wherein the subelectrode is configured and arranged to receive electrical signals indicative of electrophysiological characteristics of myocardial tissue in proximity to the subelectrode.

20. The catheter tip of claim 19 , further comprising an electrical insulator positioned between the subelectrode and the angled aperture, the electrical insulator configured to electrically insulate the ablation electrode from the subelectrode.

21. The catheter tip of claim 19 , further comprising an electrically insulating material coupling the subelectrode to the aperture, wherein the subelectrode is flush with an exte

Assignees

• St Jude Medical Cardiology Div Inc

Inventors

• Sliwa John W
• Morse Stephen A

Classifications

• A61B2218/002

  Irrigation · CPC title

• A61B2018/1405

  Electrodes having a specific shape · CPC title

• A61B18/1492 Primary

  having a flexible, catheter-like structure, e.g. for heart ablation (A61B18/1477 takes precedence) · CPC title

• A61B2018/126

  bipolar · CPC title

• A61B2018/00577

  Ablation · CPC title